WEBVTT 00:06.881 --> 00:08.925 I feel like I'll say the wrong thing. 00:09.009 --> 00:12.095 You really can't. There are no wrong answers here. 00:14.222 --> 00:15.432 Okay. 00:18.810 --> 00:22.814 His kindness. He's very kind. 00:26.192 --> 00:28.528 Something you love and appreciate about Maggie? 00:29.612 --> 00:31.781 Um... Yeah... Um... 00:33.450 --> 00:35.326 I guess I, um... 00:36.161 --> 00:38.580 I love that she's here this morning. 00:38.663 --> 00:43.293 Because it means she's finally admitting that we need help communicating, so... 00:47.088 --> 00:49.049 And I... 00:49.883 --> 00:53.094 I appreciate how hard Maggie works. 00:55.055 --> 00:56.639 How is that a bad thing? 00:57.515 --> 00:58.683 How is what I said bad? 00:58.767 --> 01:01.352 [Meredith] Every life on the planet begins as a single cell 01:01.436 --> 01:03.897 which splits and multiplies over and over again. 01:04.814 --> 01:06.024 Each cell has a purpose. 01:06.107 --> 01:10.195 Okay, the kids are dressed and ready... and you're still not up. 01:10.278 --> 01:16.284 I can't. I feel awful. Can you take Luna to daycare for me so that I can sleep? 01:16.367 --> 01:18.161 -Yeah. -Thank you. 01:18.244 --> 01:22.499 [Meredith] And as it forms, internal and external forces converge on it. 01:24.084 --> 01:26.169 I know what you're doing. 01:26.252 --> 01:28.505 What, trying to spend a little more time with my wife? 01:29.005 --> 01:31.966 Now, you gonna have to go home, and then come back at the end of the day. 01:32.050 --> 01:34.803 Yeah, well, I got the day off, so I got time. 01:34.886 --> 01:36.513 Two extra trips? 01:38.056 --> 01:42.102 More carbon footprint. Killing the planet. Think of our children. 01:42.185 --> 01:46.564 [Miranda] There, yeah. You see? They've extended the security perimeter. 01:46.648 --> 01:47.816 Perfectly safe. 01:47.899 --> 01:52.362 Signaling to the cell what it will become. We call this process differentiation. 01:52.445 --> 01:54.030 Thanks for the ride. 01:55.073 --> 01:55.907 Love you. 01:55.990 --> 01:57.158 It'll be fine. 01:58.076 --> 02:01.496 An arm, a bone, a brain. 02:01.579 --> 02:03.123 Hey, good morning. 02:04.207 --> 02:05.458 [Ben] Perfectly safe. 02:05.542 --> 02:09.754 All cells take a journey from generalized to specialized. 02:09.838 --> 02:13.383 Sorry, I know I'm a little late... roommates, tandem parking. 02:13.466 --> 02:15.885 Anyway, I'm here for my plasma donation. 02:15.969 --> 02:18.930 We don't call it a "donation" when you're taking $75 for it. 02:20.056 --> 02:21.224 Fair point. 02:21.307 --> 02:23.059 They go from nothing to something. 02:23.143 --> 02:26.020 You're three pounds underweight. Can't give plasma today. 02:26.104 --> 02:28.731 Not possible. I do this every two months. Check your records. 02:28.815 --> 02:31.025 Check the scale. Come back when you qualify. 02:32.277 --> 02:34.529 Or what you could be to what you are. 02:36.823 --> 02:38.867 -Hey! -Good morning. 02:38.950 --> 02:40.618 Do you want to meet up if you have a break? 02:40.702 --> 02:41.953 On-call room on four? 02:42.036 --> 02:46.249 Sounds fun. Might take me a while to get there. I'm in Phoenix. 02:46.332 --> 02:47.208 Why? 02:47.292 --> 02:49.669 Because that's where my next job is. I finished my gig in Seattle. 02:49.752 --> 02:53.006 What? You never said anything. I was with you two days ago. 02:53.798 --> 02:55.508 Well, you always seem more interested 02:55.592 --> 02:57.719 in the on-call room on four than actually talking. 02:58.178 --> 02:59.053 I... 02:59.762 --> 03:01.848 I gotta go. Let me know if you're ever in Phoenix. 03:01.931 --> 03:03.683 [line ends] 03:03.766 --> 03:06.686 I mean, I'd just as soon elope, but Trey and his family, 03:06.769 --> 03:08.021 super into tradition. 03:08.104 --> 03:10.356 When he asked his brother to be his best man, he cried. 03:10.857 --> 03:12.859 My sister and I hardly speak, and... 03:14.527 --> 03:16.613 She's trying to say that she needs a Maid of Honor. 03:16.696 --> 03:19.908 Oh! I like you so much, but I would be bad at that job. 03:19.991 --> 03:22.660 -Hey, what the hell? You left me. Again. -Be on time. 03:22.744 --> 03:25.580 Yeah, if your silver spoon, nepotism ass isn't in the seat by 7:00, 03:25.663 --> 03:26.748 you're out of luck. 03:26.831 --> 03:29.334 Tough, punctual, efficient. There's your Maid of Honor. 03:29.417 --> 03:30.960 -What? -Forget it. 03:31.044 --> 03:32.086 You said 6:45. 03:32.170 --> 03:33.588 Yes, because we gave you a fake time 03:33.671 --> 03:36.299 that's 15 minutes before we're actually planning to leave. 03:36.382 --> 03:37.759 And yet you still can't make it. 03:37.842 --> 03:40.887 Well, you could've woken me up. Does anybody have my back here? 03:40.970 --> 03:42.305 -No. -[Lucas sighs] 04:01.866 --> 04:05.912 Okay. Yes, I understand and I appreciate it, but... 04:05.995 --> 04:08.164 -Okay, thank you. -[Amelia] Busy morning? 04:09.165 --> 04:11.209 How come no one ever mentions that part of a chief job 04:11.292 --> 04:13.878 is actually being a reference for other institutions 04:13.962 --> 04:15.672 who are looking to poach your surgeons? 04:15.755 --> 04:16.631 Not following. 04:16.714 --> 04:19.133 Harvard Med, NYU, Heart Center of Chicago, 04:19.217 --> 04:21.761 they're all in my call list because they're interested in Pierce. 04:21.844 --> 04:23.513 How long has she been working here? 04:23.596 --> 04:27.016 Maybe there is something in her contract that prohibits her from leaving. 04:27.100 --> 04:28.977 Leaving? Maggie? 04:29.060 --> 04:31.813 Yeah, that article has given her a lot of attention. 04:31.896 --> 04:34.274 Look, I don't wanna hold anyone back, but we just lost Grey. 04:34.357 --> 04:35.775 I mean, how do we get Pierce to stay? 04:35.858 --> 04:37.694 Yeah, I'm on it. 04:37.777 --> 04:39.445 -Great, thanks. Sorry. -[phone rings] 04:40.321 --> 04:42.240 [Teddy] Yeah, hi. This is she. 04:43.950 --> 04:47.036 -[coughs] -So cough and sniffles. Bed six. 04:47.120 --> 04:48.871 Nothing like half a decade of medical training 04:48.955 --> 04:50.081 to use on a runny nose. 04:50.164 --> 04:53.167 I had a patient who had sniffles, turned out he had a CSF leak in his brain, so... 04:53.251 --> 04:54.419 -[phone vibrates] -[clears throat] 04:54.502 --> 04:57.422 Complex trauma case transfer from a rural hospital. 04:57.505 --> 04:58.840 -Kwan, you wanna see the helipad? -Oh, yeah. 04:58.923 --> 05:00.341 Just Kwan or... 05:00.425 --> 05:02.427 Adams, code phlegm. Bed five needs a neti pot. 05:02.510 --> 05:03.678 Thank God you're here. 05:04.178 --> 05:05.471 [woman coughing] 05:05.555 --> 05:08.266 Ma'am, please try to keep your mask on. 05:08.349 --> 05:11.019 Help! I need a doctor. 05:11.102 --> 05:12.478 -I saw him first. -Nope. 05:12.562 --> 05:13.604 No. 05:13.688 --> 05:16.357 -[Lucas] Hey, hey. -[Simone] Have you been injured? 05:17.358 --> 05:18.359 We got you. 05:18.443 --> 05:20.862 Okay, rodeo wreck. Rider in Oregon got bucked off 05:20.945 --> 05:22.822 and stomped on by a thousand-pound bull. 05:22.905 --> 05:23.740 It's barbaric. 05:23.823 --> 05:24.741 Bull-riding. 05:25.033 --> 05:27.702 Nothing but testosterone addicts getting off on torturing animals 05:27.785 --> 05:29.871 because it makes them feel more like a man. 05:29.954 --> 05:32.665 Huh. Let's go. Okay, what have we got? 05:32.749 --> 05:36.002 Georgia Arkins, 16. Crush injury from being trampled by a bull. 05:36.085 --> 05:38.963 GCS, 15. CT scan shows retrohepatic hematoma 05:39.047 --> 05:40.340 from an IVC tear. 05:40.423 --> 05:42.884 Multiple lumbar burst fractures. Vital signs are stable. 05:42.967 --> 05:45.428 She's been given sedatives for transfer, so she's a little out of it. 05:45.511 --> 05:47.472 Local hospital didn't feel equipped to handle her complex injuries. 05:47.555 --> 05:48.765 [Owen] Thank you. 05:48.848 --> 05:51.976 Can I go again? The bull, can I go again? 05:52.060 --> 05:53.728 I only got to five seconds. 05:53.811 --> 05:57.106 So, anything you wanna add to your initial assessment, Kwan? 05:57.190 --> 05:58.441 Look up for me. 06:01.194 --> 06:02.153 [Maggie] He's exaggerating. 06:02.236 --> 06:05.990 Ever since the interview, she's received half a dozen amazing offers, 06:06.074 --> 06:08.826 including a position in bio artificial heart research. 06:08.910 --> 06:11.996 So we inject an extra cellular matrix of a pig's heart, 06:12.080 --> 06:16.000 which serves as, like, scaffolding, with human stem cells 06:16.084 --> 06:18.586 that it can grow cardiac muscle tissue. 06:18.961 --> 06:21.923 And then we electrically stimulate them to twitch cell by cell 06:22.006 --> 06:25.843 until they start to beat together, essentially as one beating heart. 06:26.886 --> 06:27.970 It's beautiful. 06:28.054 --> 06:30.807 Yeah, which means more hearts for people who need them. 06:31.391 --> 06:33.976 The research is at the Heart Center of Chicago. 06:34.060 --> 06:37.772 Oh, well, that's a fantastic city. 06:37.855 --> 06:39.816 Yes, it is! 06:39.899 --> 06:43.403 The Art Institute, and Steppenwolf, deep dish pizza. 06:43.486 --> 06:45.238 You can keep those winters, though, 06:45.321 --> 06:48.449 with the wind just ripping in off the lake like that. 06:48.533 --> 06:50.576 Well, that's what parkas and mittens are for. 06:50.660 --> 06:54.497 And it's weak pizza. Really, it's just quantity over quality. 06:54.580 --> 06:56.416 So, are you considering it? 06:56.499 --> 06:58.084 Well, I might like to, but-- 06:58.167 --> 07:00.795 Look, I've already moved across the country for you once. 07:00.878 --> 07:03.506 And then when I tried to change my specialty, also for you, 07:03.589 --> 07:05.550 you lost all respect for me. 07:05.633 --> 07:06.717 -That... -So, I'm-- 07:06.801 --> 07:08.428 Please don't put words into my mouth. 07:08.511 --> 07:10.346 Those are your words. You put those words 07:10.430 --> 07:11.597 -in your own mouth. -No, I... 07:11.681 --> 07:12.515 [phone dings] 07:18.187 --> 07:19.439 [exclaims] 07:19.522 --> 07:20.773 I have to go. 07:20.857 --> 07:23.609 -You have to go now? -Can we pick this up? 07:23.693 --> 07:25.945 God's sake, Maggie. I have waited weeks, 07:26.028 --> 07:29.740 weeks of just tip-toeing around going along with this cease-fire 07:29.824 --> 07:32.493 that you proposed until we can get in here and try to fix this. 07:32.577 --> 07:34.996 And now you're in the hot seat, so you just want to walk out? 07:35.746 --> 07:39.000 You know what, no, I'm not even that surprised by this. 07:39.083 --> 07:41.127 I'm on trauma call, Winston. 07:45.214 --> 07:46.966 Please excuse me. 08:06.944 --> 08:10.198 Hey, what are you doing here? Are the kids okay? 08:10.281 --> 08:12.074 Everyone's fine, except you. 08:13.075 --> 08:16.579 You're not fine, and you're also not sick. 08:16.662 --> 08:19.582 I am sick. What are you doing here? 08:19.665 --> 08:22.335 I took the kids to daycare and I took a personal day 08:22.418 --> 08:25.421 because your body does this. 08:26.172 --> 08:27.673 My body does what? 08:27.757 --> 08:30.009 It aches so that you'll rest 08:30.092 --> 08:32.303 because it's learned that if it aches, you'll stay in bed 08:32.386 --> 08:34.722 when nothing else works to keep you in bed. 08:34.805 --> 08:36.265 You need a day off. 08:37.016 --> 08:41.020 But you're not sick. Which is why you get a latte... 08:42.188 --> 08:43.356 and... 08:43.439 --> 08:44.899 [clears throat] 08:48.986 --> 08:52.949 -the little donuts with the pink frosting. -[gasps] 08:54.242 --> 08:56.035 [chuckles] 08:56.118 --> 08:57.119 You took a day off. 08:57.203 --> 08:59.664 Yeah, I figured you could use the company. 08:59.747 --> 09:03.918 Plus, after I eat three boxes of these, I'm no good at work. 09:04.001 --> 09:05.795 You ate three boxes? 09:05.878 --> 09:08.381 No, but I'm about to. 09:10.258 --> 09:12.760 -You might want to look away. -[both laugh] 09:12.843 --> 09:14.762 -I'm just gonna go. -No! 09:15.721 --> 09:16.889 [man groans] 09:16.973 --> 09:18.683 Any feeling of nausea? 09:20.643 --> 09:21.644 Not really. 09:21.727 --> 09:24.355 Is there anything you can do about the pain? 09:24.438 --> 09:26.899 It feels like someone is dicing my intestines. 09:26.983 --> 09:28.442 We'll take care of that for you in a moment, 09:28.526 --> 09:31.070 but I need to finish this physical exam before we can-- 09:31.153 --> 09:34.031 Look, I came here because Grey Sloan is supposed to be the best. 09:34.115 --> 09:36.200 So, please, you gotta help me. 09:36.284 --> 09:37.743 It could be a positive McBurney sign. 09:37.827 --> 09:38.911 Which could be caused by... 09:38.995 --> 09:40.746 -Appendicitis. -Diverticulitis. 09:43.040 --> 09:44.375 [groans] What the hell? 09:44.458 --> 09:46.836 I was seeing if the pain was exacerbated by jostling movements. 09:46.919 --> 09:50.214 Can we wait to play school until I'm not in agony? 09:50.298 --> 09:51.465 Well, let's get him comfortable. 09:51.549 --> 09:53.050 We'll send him up for the basic labs 09:53.134 --> 09:55.595 and then let's take him up to CT for some scans. 09:55.678 --> 09:58.139 [PA announcement playing] 10:02.935 --> 10:04.812 Did I hear it correctly, a bull? 10:04.895 --> 10:06.856 [woman] T-Bird. He's feisty. 10:06.939 --> 10:09.191 I just didn't get out over his front end in time. 10:09.275 --> 10:11.110 When T-Bird trampled over Georgia, 10:11.193 --> 10:13.654 he crushed her liver and likely tore her IVC. 10:13.738 --> 10:15.990 There's a big hematoma in the retrohepatic space 10:16.073 --> 10:19.243 which looks contained for now, stable HNH. 10:19.327 --> 10:22.246 She's got unstable T-10 through L-3 burst fracture. 10:22.330 --> 10:23.205 [woman] Please don't tell my parents. 10:23.289 --> 10:25.041 They freak out whenever stuff like this happens. 10:25.124 --> 10:26.667 This has happened before? 10:26.751 --> 10:29.837 I had a huge cut on my back, a broken wrist, a broken leg. 10:29.920 --> 10:32.423 Oh, and I have this massive scar. 10:32.506 --> 10:33.966 -Woah, woah, woah! -Push two of midazolam. 10:34.050 --> 10:37.345 Okay, this burst L-3 fracture is too unstable. 10:37.428 --> 10:39.263 Without immediate surgery, we're talking about paralysis. 10:39.347 --> 10:42.850 Once Maggie goes in and repairs the IVC, I will stabilize the spine. 10:42.933 --> 10:44.518 I don't think I should go in. 10:44.602 --> 10:45.853 There's a massive hematoma. 10:45.936 --> 10:46.979 And it's sitting in a minefield. 10:47.063 --> 10:48.230 The hematoma is stable for now, 10:48.689 --> 10:51.734 but you should go in and repair the spine and I will be there to monitor her. 10:51.817 --> 10:53.694 Just use a posterior approach to avoid rupturing it. 10:54.153 --> 10:55.237 What if it happens anyway? 10:55.321 --> 10:58.324 Then we'll flip her and I will control the bleeding. 10:58.407 --> 10:59.492 Now I'm not sure if I should go in. 10:59.575 --> 11:01.202 If you don't, she never walks again. 11:02.453 --> 11:03.996 Are Georgia's parents here? 11:04.789 --> 11:06.165 [coughs] 11:06.248 --> 11:10.544 Look, all I need is antibiotics. It'll clear up in a few days or so. 11:11.128 --> 11:14.882 Maybe. But I am hearing some wheezing in the left lung. 11:15.800 --> 11:19.762 Okay, we should get a chest X-ray, make sure we're not looking at pneumonia. 11:19.845 --> 11:22.306 No. No chest X-ray. 11:22.390 --> 11:24.100 But there's no discomfort involved. 11:24.183 --> 11:25.935 Until the bill comes. 11:28.604 --> 11:32.858 When my husband died, I was lucky enough to find work in a book store. 11:32.942 --> 11:36.487 It's lovely, the owner is kind, 11:36.570 --> 11:40.449 but low wages and... no benefits. 11:40.533 --> 11:43.577 Without the X-ray, I can't tell how serious this is, so... 11:43.661 --> 11:46.455 I can hardly afford antibiotics. 11:46.539 --> 11:49.291 Anything else is out of the question. 11:49.375 --> 11:54.171 Look, I'll get you the antibiotics, but just stay here. 11:54.255 --> 11:55.881 Okay? I'll be right back. 11:55.965 --> 11:58.759 [PA announcement] Dr. Sutton, Dr. Tracy, psych to recovery. 11:58.843 --> 12:00.094 Doctors, psych to recovery. 12:01.345 --> 12:03.347 He didn't even tell me he was leaving. 12:03.431 --> 12:07.101 He insinuated that I wouldn't care because I only cared about the sex. 12:07.184 --> 12:08.936 I didn't use him for sex. 12:09.019 --> 12:11.397 He used me for sex and then he left. 12:12.440 --> 12:13.733 I'm the victim here. 12:13.816 --> 12:16.402 You're the doctor, he's the nurse. You've got all the power. 12:16.485 --> 12:18.988 You clearly don't understand gay male culture. 12:19.071 --> 12:21.741 He is hotter, he has all the power. 12:21.824 --> 12:23.159 Doesn't sound like he felt that way. 12:23.242 --> 12:24.869 Why aren't you sad for me? 12:24.952 --> 12:28.038 I'm the nice guy who once again got left. 12:28.122 --> 12:29.290 Well, the interns who have come in here 12:29.373 --> 12:31.417 after working and being yelled at for 16 hours 12:31.500 --> 12:33.169 definitely don't feel like you're the nice guy. 12:33.252 --> 12:35.004 I don't yell! 12:35.087 --> 12:38.883 That wasn't yelling, that was loud talking. I'm nice. 12:44.388 --> 12:46.265 I love you. I mean it. 12:47.475 --> 12:50.519 If the hematoma ruptures while you're fixing the spine, 12:50.603 --> 12:51.437 she could die. 12:51.896 --> 12:54.315 But if it doesn't rupture, it can heal on its own. 12:54.398 --> 12:58.986 That's right. The safest option is to just monitor Georgia in the ICU. 12:59.069 --> 13:02.114 She may not walk again, but she would be alive. 13:02.198 --> 13:03.949 Sounds like this thing could rupture any time. 13:04.033 --> 13:06.160 I mean, hell, it could be rupturing right now. 13:06.243 --> 13:07.703 Cody... 13:07.787 --> 13:09.872 He's not wrong. 13:12.208 --> 13:15.211 [tense music playing] 13:18.923 --> 13:20.299 Do the spinal surgery. 13:21.425 --> 13:23.135 Sir, I wanna make sure that you understand-- 13:23.219 --> 13:26.680 We do. Save our daughter's ability to ride. 13:30.684 --> 13:34.814 No stranding. Appendix looks normal. No evidence of colitis. 13:35.940 --> 13:38.025 That's an awfully quick assessment to have. 13:39.026 --> 13:42.363 You know, scans are like a piece of art. 13:42.446 --> 13:44.198 You know, a still life, say. 13:44.281 --> 13:46.909 Maybe you first look at it and you shrug. 13:46.992 --> 13:49.078 Looks like a pear or a tulip. 13:49.161 --> 13:52.373 But you sit with it for a while, learn to open up your mind, 13:52.456 --> 13:55.584 and maybe it might guide your eye 13:55.668 --> 13:58.546 to something that the artist wants you to see. 13:58.629 --> 14:01.841 Hold up, turns out Seth's been to five different Seattle ERs 14:01.924 --> 14:03.175 in the past three weeks, 14:03.259 --> 14:06.887 all discharged with a script for controlled pain meds. 14:08.931 --> 14:10.683 Seattle Pres, two nights, Pacific Gen, one, 14:10.766 --> 14:12.101 Saint Anne's, two hours-- 14:12.184 --> 14:13.978 Okay, I get what you're implying. 14:14.061 --> 14:17.147 And according to their records, you have a history of drug use 14:17.231 --> 14:19.608 that you didn't bother to tell us about. 14:19.692 --> 14:21.735 We can't help you if you're not telling the truth. 14:21.819 --> 14:24.029 Oh, my God. I don't have... 14:24.113 --> 14:25.447 [grunts] 14:27.032 --> 14:29.159 Back in the day, I did Adderall to stay up. 14:29.243 --> 14:30.744 I'm a private equity analyst. 14:30.828 --> 14:33.122 All-nighters go with the territory when you're starting out. 14:33.205 --> 14:34.665 But I haven't done it in years. 14:34.748 --> 14:36.792 I didn't tell you because I didn't want you to write me off 14:36.876 --> 14:37.918 like all those other hospitals. 14:38.002 --> 14:40.379 We're not writing you off. Addiction is a disease. 14:40.462 --> 14:41.922 It's a disease I don't have! 14:42.006 --> 14:43.716 And your scans are clean. 14:43.799 --> 14:46.260 And I got on the phone with colleagues of those other hospitals 14:46.343 --> 14:47.928 who also found nothing on your scans. 14:48.012 --> 14:50.180 Maybe they didn't sit long enough with the scans. 14:50.264 --> 14:52.016 These aren't interns, Adams. 14:52.099 --> 14:54.602 These are world-class surgeons with decades of experience. 14:54.685 --> 14:56.812 So you're just gonna kick me out on the street like everyone else? 14:56.896 --> 14:59.899 No, we are gonna exercise our due diligence and take extra tests, 14:59.982 --> 15:00.983 and if they show nothing, 15:01.066 --> 15:04.153 then we would discharge you with a referral to an addiction specialist. 15:04.737 --> 15:06.780 I should never have admitted I ever used drugs. 15:08.240 --> 15:10.784 You screw up once, you're a screw-up forever. 15:23.589 --> 15:25.466 -[Amelia] She's about prepped and ready. -[Maggie] Yeah. 15:28.260 --> 15:30.095 [Amelia] Why didn't you tell me about all the job offers? 15:31.180 --> 15:33.724 Offers come in every time I publish. It happens to everyone. 15:33.807 --> 15:34.767 Not like this. 15:34.850 --> 15:37.853 Look, it doesn't matter where you are, right? 15:37.937 --> 15:40.022 I mean, it matters what you're doing. 15:40.105 --> 15:43.317 You just ask Teddy or Richard for whatever you need research-wise, 15:43.400 --> 15:44.360 they will get it for you. 15:44.443 --> 15:46.820 You don't have to move to do your next big thing. 15:46.904 --> 15:49.156 Meredith and I managed to pull off the Parkinson's procedures 15:49.239 --> 15:50.324 right down the hall. 15:51.450 --> 15:52.326 [doctor] She's ready. 15:53.911 --> 15:55.162 [Maggie] All right. 15:59.375 --> 16:02.086 So when you all told me about those 8:30 surgical study sessions, 16:02.169 --> 16:03.087 what time were they really? 16:08.592 --> 16:10.594 What do you think about Chilaiditi's syndrome for Seth? 16:10.678 --> 16:13.514 Thinking it's usually associated with acidic and cirrhotic patients. 16:13.597 --> 16:15.766 Also, we would've seen it in the scans. 16:15.849 --> 16:17.977 And we have our answer. All his tests came back clean 16:18.060 --> 16:20.229 except his urinalysis which was positive for opiates. 16:20.312 --> 16:22.106 Because all those other hospitals gave him meds. 16:22.189 --> 16:24.608 Webber said to discharge him. I'm gonna discharge him. 16:25.609 --> 16:26.694 Tessa Hobbes. 16:28.445 --> 16:31.323 Why would you bring up Tessa? You know that still hurts. 16:31.407 --> 16:34.034 Because my gut told me that we should've taken her straight to the OR. 16:34.118 --> 16:36.495 You heard me say it, but I didn't fight for it 16:36.578 --> 16:38.497 and now my gut's saying that Seth's telling the truth. 16:38.580 --> 16:40.541 Nothing I've seen makes me think Webber's wrong. 16:40.624 --> 16:43.002 Yeah, but do you think there might be a chance that I'm right? 16:43.085 --> 16:46.547 I mean, I've always had your back. Could you at least have mine? 16:51.677 --> 16:53.095 I'm already on my second residency. 16:53.178 --> 16:54.555 He's not gonna fire us. 16:57.016 --> 16:58.600 [Amelia] Have suction ready. 16:58.684 --> 16:59.810 [Owen] Blood pressure's steady. 17:01.979 --> 17:04.815 Chief, I have a wheezing 60-year-old patient in the ER. 17:04.898 --> 17:05.899 Possible pneumonia, 17:05.983 --> 17:09.486 she needs a chest X-ray and a nebulizer treatment but can't afford it. 17:09.570 --> 17:10.654 Can we do it pro-bono? 17:10.738 --> 17:12.489 You'll have to fill out the forms with Accounting 17:12.573 --> 17:14.158 and they're gonna want to confirm her income 17:14.241 --> 17:16.243 and make sure that she qualifies. It may take a day or so. 17:16.326 --> 17:17.995 But she needs to be treated now. 17:18.078 --> 17:21.290 If we break the rules for one patient, it's not fair for the others. 17:21.373 --> 17:22.374 [scoffs] 17:24.168 --> 17:27.379 I was eating donuts from the trash because I need to gain weight 17:27.463 --> 17:29.131 in order to be eligible to donate my plasma 17:29.214 --> 17:31.633 because I am broke, so is my patient. 17:31.717 --> 17:34.511 I don't need your help and I am not looking for handouts, 17:34.595 --> 17:36.472 I just want to take care of my patient. 17:36.555 --> 17:39.141 I'm sorry, you have to go through the proper channels. 17:41.310 --> 17:45.481 Yasuda. I have protein bars in my office. 17:45.564 --> 17:47.733 You're welcome to them anytime. 17:47.816 --> 17:49.109 [Amelia] Removing the lamina. 17:49.193 --> 17:51.153 Can't stop thinking about that father. 17:51.236 --> 17:54.364 We're reconstructing a spine just to have her go back out there 17:54.448 --> 17:55.866 and wreck it all over again. 17:55.949 --> 17:58.368 Yeah, lots of parents live out their fantasies through their kids. 17:58.452 --> 18:01.038 So, her last shock panel showed a hemoglobin of 11. 18:01.121 --> 18:04.583 So the bleed is stable, but just be careful with your instrumentation. 18:04.666 --> 18:08.629 Not sure you hovering is gonna make things go more smoothly. 18:08.712 --> 18:10.255 And how many times have you fixed up a pro football player 18:10.339 --> 18:13.175 just so he can go back in the field in the hopes of making the playoffs? 18:13.258 --> 18:15.010 Don't get me started on football. 18:15.094 --> 18:16.637 [Kwan] Yeah, except rodeo is the only gig 18:16.720 --> 18:19.014 with a poor animal out there against their will. It's cruel. 18:19.098 --> 18:21.725 Can we keep all non-essential chatter to a minimum? 18:21.809 --> 18:25.395 Georgia has a giant bleed hanging over her that could burst at any second. 18:26.063 --> 18:27.397 Pedicle screw, please? 18:31.360 --> 18:32.778 I think it's an infection... 18:33.195 --> 18:34.655 [Levi] Adams, Griffith. 18:35.405 --> 18:37.741 Is everything okay, Doctor Schmitt? 18:37.825 --> 18:40.327 Just checking in on how you two are doing. 18:40.410 --> 18:43.747 How's life? What's up? 18:44.748 --> 18:45.582 I don't understand. 18:45.666 --> 18:46.792 What are you working on? 18:48.710 --> 18:51.338 Okay, we know Webber said to discharge him, 18:51.421 --> 18:55.717 but we really think that there's something more to this patient 18:55.801 --> 18:57.886 and if we could just have a little more time to study his case, 18:57.970 --> 18:58.929 we could figure it out. 18:59.012 --> 19:02.808 Okay, no. You're interns. It doesn't matter what you think. 19:02.891 --> 19:05.644 If you can't be trusted to follow instructions, 19:05.727 --> 19:07.312 then you can't be trusted in the OR. 19:07.396 --> 19:09.815 Discharge the patient! 19:09.898 --> 19:11.775 And never question Doctor Webber ever again. 19:26.623 --> 19:29.334 I should probably go to work and check on Tia. 19:30.294 --> 19:33.547 Tia and her baby are both okay. I've checked. 19:35.424 --> 19:37.259 A car drove into human beings 19:37.342 --> 19:40.512 and tried to kill you and your friends, so you've earned the day off. 19:43.473 --> 19:46.185 Why is it so hard for me to rest? 19:47.352 --> 19:48.187 [snorts] 19:49.104 --> 19:50.647 How am I supposed to know that? 19:51.773 --> 19:56.111 Because you knew that I wasn't sick before I even knew that I wasn't sick. 19:56.195 --> 19:57.404 Well, I've known you a long time. 19:57.487 --> 20:00.115 You notice things about somebody when you've known them a long time. 20:00.991 --> 20:02.659 You knew what my favorite donuts were. 20:03.577 --> 20:04.578 Same answer. 20:04.661 --> 20:08.707 So why is it so hard for me to rest? You don't have a theory? 20:10.375 --> 20:14.087 I could tell you why I think it's hard for me to rest, would that help? 20:14.880 --> 20:16.215 Yes, please. 20:17.049 --> 20:22.471 Um... Well, I was a pretty happy-go-lucky kid. 20:22.554 --> 20:25.766 I got cancer and my parents started to fight all the time 20:25.849 --> 20:28.977 and I was sick, 20:29.061 --> 20:32.356 stuck in bed, listening to my parents fight through the walls. 20:32.439 --> 20:36.485 So I think I associate rest with misery. 20:38.570 --> 20:39.905 I don't think that's it. 20:40.948 --> 20:43.909 Okay. You know me better than I know me. 20:43.992 --> 20:45.160 I've known you a long time, 20:45.244 --> 20:46.787 and when you've known someone a long time, 20:46.870 --> 20:47.704 you notice things. 20:50.207 --> 20:51.708 So what do you think it is? 20:52.292 --> 20:56.338 I think you only have trouble resting 20:56.421 --> 20:58.298 when you're not taking care of somebody else. 20:59.591 --> 21:03.971 You'll lay around all day with a baby on your chest if that baby needs you. 21:05.305 --> 21:10.560 You lay in bed with me, with donuts if I need you. 21:10.644 --> 21:14.606 And when you got cancer and your parents started fighting, 21:15.607 --> 21:18.610 you started to take care of them so they wouldn't split up. 21:19.861 --> 21:21.780 You learned to take emotional care of the people 21:21.863 --> 21:24.658 who are supposed to be taking care of you and that's why 21:24.741 --> 21:27.411 it's hard for you to rest when you're by yourself. 21:28.078 --> 21:31.581 You don't feel safe when you're not taking care of somebody else. 21:33.083 --> 21:34.751 It make you anxious. 21:44.761 --> 21:46.138 And I think... 21:48.807 --> 21:52.978 you can't rest because you never had anyone to take care of you. 21:53.687 --> 21:58.108 So you stay busy all the time, taking care of yourself 21:58.191 --> 22:00.610 and when you're still, you feel that pain. 22:08.243 --> 22:09.870 I need a nap. 22:10.537 --> 22:12.247 You want me to go? 22:13.332 --> 22:14.791 No. 22:21.631 --> 22:23.342 That feels nice. 22:33.769 --> 22:37.481 Harborview Med, last Tuesday, 23:11... 22:38.774 --> 22:39.608 Nothing. 22:39.691 --> 22:41.485 If Webber or Schmitt finds us, we're fired. 22:41.568 --> 22:42.861 Yeah, well... 22:45.113 --> 22:46.531 You think that'd be annoying. 22:46.615 --> 22:47.908 [laughs] 22:47.991 --> 22:51.495 I'd say it clears my mind, helps me unwind. 22:52.162 --> 22:53.497 You have anything like that? 22:53.580 --> 22:54.456 Ice skating. 22:56.583 --> 22:57.417 What? 22:57.501 --> 23:00.420 [laughs] I just... I wasn't expecting that. 23:00.504 --> 23:02.464 Well, you don't know everything about me. 23:03.715 --> 23:06.843 Well, true, I never pictured you as the type 23:06.927 --> 23:10.222 to have a big fancy wedding or matching dresses. 23:10.305 --> 23:12.474 I don't want either. 23:12.557 --> 23:17.604 I want the marriage but not the pomp and circumstance. 23:17.687 --> 23:19.189 Not even a little pomp? 23:19.272 --> 23:23.276 Like a meat on a stick or chucking a bouquet at your girls? 23:23.360 --> 23:24.611 Group pics? 23:24.694 --> 23:25.987 -I truly hate you. -[both laugh] 23:29.366 --> 23:32.244 I think it's sweet that Trey wants to create a moment in our lives 23:32.327 --> 23:35.205 that we're gonna remember forever, but he's a romantic. 23:35.288 --> 23:37.416 Even if we're just out getting a pizza, he's like, 23:37.499 --> 23:39.126 "I wish I could freeze this moment forever." 23:39.209 --> 23:40.419 Wait, wait, wait. That's it. 23:42.254 --> 23:43.672 It's moments. That's... 23:44.381 --> 23:47.050 Okay. These scans, they're not works of art, 23:47.134 --> 23:51.263 they're moments... frozen moments in time. 23:54.641 --> 23:56.643 Good. Glad we cleared that up. 23:56.726 --> 24:00.105 Okay, look. Here we go... There and there. 24:03.108 --> 24:04.943 [Kwan] Do you know where they came up with the eight seconds? 24:05.777 --> 24:08.530 That is the time the rider has to stay on the bull. 24:08.613 --> 24:11.032 It's because the bull starts to lose its strength to fight back 24:11.116 --> 24:12.367 and it stops bucking. 24:12.451 --> 24:15.537 The official line is that it's for the safety of the animals, 24:15.620 --> 24:17.456 but it's really because it becomes so weakened 24:17.539 --> 24:18.874 that we stop being entertained. 24:18.957 --> 24:20.125 [heart monitors beeping] 24:20.208 --> 24:21.501 BP is dropping. 24:21.585 --> 24:23.587 [Owen] Pierce, is that what I think it is? 24:23.670 --> 24:24.671 [Amelia] She's bleeding out. 24:24.754 --> 24:25.672 [Maggie] The hematoma ruptured. 24:25.755 --> 24:27.048 Stop the fusion, we need to flip her. 24:27.132 --> 24:28.341 [Amelia] Her spine is exposed. 24:28.425 --> 24:30.427 [Maggie] It doesn't matter. Pack it and throw some Ioban on it! 24:30.510 --> 24:33.346 Hang two units of blood. Prep for an ex-lap and a sternotomy. 24:33.430 --> 24:34.973 Every second counts here, people. 24:35.056 --> 24:37.267 Until we get this bleed stopped, this is my OR! 24:43.815 --> 24:46.860 [somber music playing] 24:58.705 --> 25:00.999 [Maggie] Okay, this is it. When we get in there, 25:01.082 --> 25:03.376 Kwan, you're gonna alternate cardiac massage with Millin. 25:04.503 --> 25:05.754 Scalpel. 25:06.630 --> 25:08.882 Okay, Georgia, here we go. 25:10.550 --> 25:11.468 Scalpel. 25:12.844 --> 25:15.764 ♪ I've been looking for a sign ♪ 25:16.431 --> 25:19.684 ♪ Now I see a shining light ♪ 25:20.185 --> 25:21.186 [Maggie] Get the saw ready. 25:22.521 --> 25:23.647 Starting pressers. 25:24.773 --> 25:27.400 ♪ Set me free ♪ 25:33.949 --> 25:34.991 [whirring] 25:40.330 --> 25:42.123 [Kwan] Is that the TEG? 25:49.214 --> 25:50.924 [Owen] She's becoming more acidotic. 25:51.007 --> 25:52.425 [Maggie] We can't lose her. 25:52.509 --> 25:53.468 [Kwan] I need more suction. 25:54.052 --> 25:55.345 [Owen] Still no pulse. 25:56.179 --> 25:59.766 ♪ Head under water and I can't breathe ♪ 26:03.019 --> 26:07.232 ♪ Pull me up 'cause I'm too deep ♪ 26:09.526 --> 26:12.529 ♪ I've been looking for a sign ♪ 26:12.946 --> 26:15.907 ♪ Now I see a shining light ♪ 26:16.616 --> 26:18.910 ♪ Oh won't somebody come and set me free ♪ 26:18.994 --> 26:21.746 Okay, I've got the infrahepatic IVC and Pringle. 26:21.830 --> 26:22.956 Lap pads. 26:23.039 --> 26:25.500 [Millin[ I've got the cava and the pericardium. 26:25.584 --> 26:26.626 Millin, switch with Kwan. 26:26.710 --> 26:28.253 We've maxed out on her pressors. 26:28.336 --> 26:29.754 -Pickups? -Still no pulse. 26:29.838 --> 26:31.798 I feel the heart. I'm there. 26:31.881 --> 26:34.134 I see the hepatic vein injury. 26:42.392 --> 26:44.311 Ligating. Push epi. 26:46.146 --> 26:48.189 Packing the retrohepatic space. 26:48.273 --> 26:49.774 Come on, Georgia. 26:50.734 --> 26:52.402 ♪ Set me free ♪ 26:53.236 --> 26:54.362 [coughing] 26:54.446 --> 26:57.824 The nurse brought the antibiotics and the inhaler. I'm off to my shift. 26:57.907 --> 27:00.535 Please don't go before getting an X-ray and the nebulizer treatment. 27:00.619 --> 27:03.413 We could do it pro-bono, but we just need to fill all these forms out. 27:03.496 --> 27:06.207 If I miss work, I don't get paid. And if I don't get paid-- 27:06.291 --> 27:08.001 You can't pay your bills, I get it. But... 27:08.084 --> 27:10.128 No! No, you don't! 27:11.129 --> 27:13.548 You're a doctor with a cushy salary. 27:13.632 --> 27:15.842 I am a surgical intern. 27:15.925 --> 27:18.011 My salary is government-funded 27:18.094 --> 27:20.388 and it is not enough to keep me from drowning in loans. 27:20.472 --> 27:23.308 Between undergrad and med school, I owe more than two grand a month. 27:23.391 --> 27:25.435 That doesn't even account for what I send to my parents 27:25.518 --> 27:28.313 to help them with their mortgage payment because they co-signed all of my loans. 27:28.396 --> 27:31.066 I literally sell my blood in order to get by, 27:31.149 --> 27:32.359 and if I thought that I had pneumonia 27:32.442 --> 27:34.110 that could lead to sepsis and respiratory failure, 27:34.194 --> 27:36.279 that could prove fatal if left untreated, 27:36.363 --> 27:38.865 or at the very least, keep me out of work for eight weeks, 27:38.948 --> 27:42.160 I would get the X-ray and the treatment. 27:42.243 --> 27:44.371 And when the bill came, I would pay the bare minimum. 27:44.454 --> 27:48.083 And if it went to the collection agencies, I would pay them the bare minimum too. 27:48.166 --> 27:52.545 And it might be a huge long pain in the ass, but I would be alive. 27:57.759 --> 27:59.928 Where do I go for the chest X-ray? 28:06.976 --> 28:08.937 Pick it up, guys. A little faster. 28:11.356 --> 28:15.026 You know what they call me when I was chief resident? The Nazi. 28:15.110 --> 28:17.821 -That is wildly inappropriate. -Yes. 28:17.904 --> 28:19.572 On so many levels. 28:19.656 --> 28:23.535 I mean, I wasn't a tough child, not in the obvious ways. 28:23.618 --> 28:26.246 I was sensitive all through high school 28:26.329 --> 28:29.791 and undergrad and med school, so as a resident, 28:29.874 --> 28:31.710 and even more so as chief resident, 28:31.793 --> 28:34.754 I thought I had to overcompensate 28:34.838 --> 28:39.676 and for a while, I became someone people didn't like very much. 28:41.678 --> 28:43.513 And what did you do? 28:43.930 --> 28:48.893 Well, I realized that my idea of myself had come out of sync 28:48.977 --> 28:51.563 with who I had become. 28:51.646 --> 28:54.482 Schmitt, you are chief resident now. 28:54.566 --> 28:58.153 You are no longer an underdog. It's time for you to stop seeing yourself that way. 28:59.028 --> 29:01.948 You're saying I shouldn't demand excellence from the interns? 29:02.031 --> 29:04.033 I'm saying there's many ways to do that. 29:04.117 --> 29:08.663 The one that will work best for you is likely the one that lets you be you. 29:08.747 --> 29:12.667 You said you wanted to be the vagina of the program 29:12.751 --> 29:14.836 because vaginas are so strong. 29:14.919 --> 29:20.592 Well, vaginas also bring pleasure, they bring joy, bring life. 29:21.634 --> 29:25.680 You gotta be the whole vagina, Schmitt, not just the muscle. 29:30.894 --> 29:33.229 It's like we were staring at a single cell of film 29:33.313 --> 29:34.355 and trying to watch a movie. 29:34.439 --> 29:37.859 We had to look at all the scans in order to see if they tell a story. 29:38.610 --> 29:42.155 Okay, look here. Four to five. 29:42.238 --> 29:44.449 There's a slight thickening in the cecal wall here. 29:44.532 --> 29:47.702 Yeah? And then six and seven... 29:47.786 --> 29:49.788 No more thickening but mild fat stranding. 29:49.871 --> 29:53.750 Yeah, and then eight, nine, ten. 29:53.833 --> 29:55.335 The pattern reappears. 29:55.418 --> 29:56.669 The flare-ups come and go, 29:56.753 --> 29:59.756 but the CT scans only capture one moment in time. 29:59.839 --> 30:01.633 Now our little film tells a different story. 30:01.716 --> 30:02.801 There's gotta be something in there. 30:02.884 --> 30:05.595 A foreign object causing these reactions. 30:05.678 --> 30:08.139 Like a fish bone maybe or a piece of cartilage 30:08.223 --> 30:09.474 that wasn't digested properly? 30:09.557 --> 30:13.436 You wanna tell me why the patient I told you to discharge hours ago 30:13.520 --> 30:15.855 is still stuck in my ER? 30:18.316 --> 30:21.236 So, she's gonna be okay. 30:22.028 --> 30:25.698 Yeah, Georgia did well under the circumstances 30:25.782 --> 30:28.076 against all odds. 30:28.159 --> 30:30.995 But we would like to speak with you about the bull riding. 30:31.079 --> 30:32.622 I should wait for my husband. 30:33.748 --> 30:36.000 We'd like to have a minute with just you. 30:36.960 --> 30:38.086 Oh... 30:41.881 --> 30:46.177 Georgia's father, her grandfather, her uncles, 30:46.261 --> 30:48.137 they are all champion riders. 30:48.221 --> 30:50.682 But Cody never wanted Georgia to go near a bull. 30:51.724 --> 30:56.938 Every Christmas, he would give her a doll house, 30:57.021 --> 30:59.774 ballet slippers, a soccer ball. 30:59.858 --> 31:01.234 She wouldn't touch them. 31:01.317 --> 31:05.113 She wanted boots, spurs. A saddle. 31:05.196 --> 31:08.533 Cody thought when she took her first spill, she'd lose interest. 31:10.159 --> 31:14.497 But when she got laid up with a crushed trachea, we said, "No more." 31:14.581 --> 31:19.085 And guess what? She wouldn't eat, wouldn't speak, couldn't sleep. 31:19.752 --> 31:23.172 The light in her eyes was just gone. 31:24.340 --> 31:27.051 To keep doing this will very likely kill her. 31:27.844 --> 31:31.222 You think I don't worry about that every single day of my life? 31:32.348 --> 31:34.350 But to take her dream away from her? 31:35.310 --> 31:36.811 That would for sure kill her. 31:37.937 --> 31:40.189 Excuse me, I'm gonna go find my husband. 31:44.360 --> 31:47.947 Nothing is harder than parenting, but you have to be the parent. 31:48.031 --> 31:49.449 Would it have worked on you? 31:49.532 --> 31:52.368 When you were a teenager, doing hard drugs, 31:52.452 --> 31:56.080 risking your life, was your mom able to stop you? 31:56.164 --> 31:59.876 I was using drugs to mask some very real pain in my life. 32:00.501 --> 32:02.253 Maybe it's the same for Georgia. 32:02.337 --> 32:06.090 Maybe she's masking the pain of having found her one true passion 32:06.174 --> 32:10.887 and hearing everyone around her tell her that she is selfish for chasing it. 32:12.347 --> 32:13.306 [coughing] 32:13.389 --> 32:15.975 -Oh no. No, no, no. Georgia, no! -She's pulling her tube out. 32:16.059 --> 32:18.311 Increase her O2 and draw an ABG. 32:18.895 --> 32:20.063 Hey. 32:20.146 --> 32:22.190 Georgia, you're okay. Just take a breath. 32:25.735 --> 32:27.153 Georgia, calm down. 32:27.236 --> 32:30.406 I need you to put this mask on. Your body needs the additional oxygen. 32:30.490 --> 32:33.826 I've had kids self-extubate before. Instinct and adrenaline kick in. 32:33.910 --> 32:35.703 How long? How long will it take? 32:35.787 --> 32:39.165 You will be be up and walking in four to six weeks. 32:39.248 --> 32:40.583 Ride. 32:40.667 --> 32:42.877 Georgia, going back to rodeo would be a mistake. 32:42.961 --> 32:46.047 Most people do not survive the surgery that Dr. Pierce just did-- 32:46.130 --> 32:47.465 I'm not most people! 32:47.548 --> 32:49.676 Would you be saying the same thing if I was a guy? 32:50.677 --> 32:52.929 Georgia, I'm not like most people either. 32:53.012 --> 32:54.973 I was really good at something when I was your age too. 32:55.056 --> 32:56.683 I skipped grades and I won prizes 32:56.766 --> 32:58.476 and everybody thought it was my parents that were pushing me. 32:58.559 --> 33:00.103 But it was me, it was all me. 33:00.186 --> 33:03.398 So I get your focus. I get your passion. 33:03.481 --> 33:06.067 And I certainly get what it's like to be a girl in an all guy's world. 33:06.150 --> 33:07.944 Maybe you'll ride again someday. 33:08.027 --> 33:10.279 But a few hours ago, you were almost dead and paralyzed. 33:10.363 --> 33:13.908 Stop fighting us and let us save the possibility of your future. 33:19.205 --> 33:20.581 There's the ileocecal valve. 33:20.665 --> 33:24.585 I hope we didn't just put a tube into a patient for no reason. 33:24.669 --> 33:26.796 What's that in the distal ileum? 33:26.879 --> 33:29.340 Move the camera down and left. 33:30.633 --> 33:31.884 There! 33:31.968 --> 33:33.261 Is that a... 33:33.344 --> 33:35.138 Toothpick. I'll be damned. 33:35.221 --> 33:38.808 Oh, my God. How did it not shred his esophagus on the way down? 33:38.891 --> 33:42.729 Well, it perfed the bowel, then it impacted into the intestinal wall 33:42.812 --> 33:45.148 where it hid from the scanner's radar. 33:45.231 --> 33:46.691 Adams, what's the game plan? 33:46.774 --> 33:49.652 Use the endoscopy forceps to fish it out carefully. 33:49.736 --> 33:51.988 Being careful not to break it and leave a piece behind 33:52.071 --> 33:53.781 that can cause an abscess later. 33:57.035 --> 33:58.661 Okay. All right, hold it steady. 33:58.745 --> 34:00.538 Will this take away all of his pain? 34:00.621 --> 34:01.956 It absolutely will. 34:02.040 --> 34:03.291 Almost there. 34:07.962 --> 34:09.756 Incredible save, Adams. 34:18.347 --> 34:19.849 Incredible save. 34:23.061 --> 34:26.355 Have I mentioned I had my hand on an actual beating heart? 34:26.439 --> 34:28.483 Only about six times. 34:28.566 --> 34:31.736 But, hey, I heard you found a bobby pin in some guy's ass or something? 34:31.819 --> 34:33.696 So, also cool? 34:33.780 --> 34:35.740 I convinced a patient to get a chest X-ray. 34:35.823 --> 34:39.410 Hey, congratulations, Adams. Yasuda's day was sadder than yours. 34:39.494 --> 34:41.037 [Mika] Oh, yeah? 34:41.120 --> 34:43.539 Hey, thanks for everything today. 34:43.623 --> 34:45.541 If you need anything, I got your back. 34:47.627 --> 34:49.295 I do need something. 34:49.378 --> 34:52.715 I know this might be weird and if it's still hard for you, you can say no, 34:52.799 --> 34:54.967 but you know me better than anyone here, 34:55.051 --> 34:57.804 better than anyone at my own program actually. 34:57.887 --> 35:01.474 And I could really use a friend to help me get through this. 35:04.477 --> 35:06.813 I'm asking you to be my Man of Honor. 35:12.151 --> 35:16.656 Yeah. Of course. It'd be an honor. 35:18.699 --> 35:19.575 Thank you. 35:19.659 --> 35:21.828 Hey, everyone. 35:22.537 --> 35:27.500 I want you to know, I heard you all did some incredible work today 35:27.583 --> 35:31.838 and so, if you're up for it, I would like to invite you all out for drinks. 35:34.507 --> 35:36.050 I'm actually serious. 35:37.468 --> 35:41.347 So I just, you know, meet me at Joe's. 35:45.059 --> 35:47.186 -Free drinks. -Yeah. 35:50.982 --> 35:52.984 Any chance you need another bartender? 35:53.067 --> 35:54.569 When would you sleep? 35:54.652 --> 35:55.903 I'll figure it out. 35:57.738 --> 36:01.159 Yeah. The manager is hiring for the late shift. 36:01.242 --> 36:03.619 -I can put in a good word. -Thank you. 36:07.623 --> 36:10.293 -Okay, people, this is my treat. -Thank God. 36:10.918 --> 36:12.545 -Yay! Thank you! -You're welcome. 36:13.296 --> 36:15.631 -Thanks, Dr. Schmitt. -Cheers, yeah. 36:15.715 --> 36:17.258 -You're welcome. -Thank you, Dr. Schmitt. 36:17.341 --> 36:18.843 Cheers. Thank you. 36:24.223 --> 36:25.474 Chaser? 36:25.558 --> 36:27.852 -What are you, her babysitter? -Man of Honor, actually. 36:27.935 --> 36:31.022 Oh, thank God! I didn't wanna have to carry around those blood vials. 36:32.899 --> 36:35.526 You'd mix them together and you pour them out at the altar? 36:35.610 --> 36:37.653 Why do you think a Maid of Honor does that? 36:37.737 --> 36:39.363 My mom did it at my uncle's wedding. 36:39.447 --> 36:41.199 I cannot overstate how not normal that is. 36:41.657 --> 36:44.327 Whatever, I'm going to order food. Anyone else? 36:45.077 --> 36:47.288 Can you get some fries? 36:48.122 --> 36:49.165 I'm starving. 36:51.083 --> 36:52.460 So, when is the wedding? 36:52.543 --> 36:55.254 Next month. But it's in town, so no one has to travel 36:55.338 --> 36:56.631 and I don't need extra time off. 36:56.714 --> 36:58.674 Trey is gonna take care most of the logistics. So you won't-- 36:58.758 --> 37:01.260 Griffith, I was just asking. 37:02.136 --> 37:03.095 Sorry, yeah. 37:03.179 --> 37:04.055 -That's okay. -That's fine. 37:04.138 --> 37:05.056 Okay. 37:06.015 --> 37:07.850 Wanna get out of here? 37:07.934 --> 37:09.477 I can't. 37:10.770 --> 37:13.314 We said no feelings and unfortunately, 37:13.397 --> 37:17.235 I find your staunch support of animal rights... hot. 37:17.902 --> 37:21.948 Okay. What if I have no feelings? 37:25.868 --> 37:26.786 That works. 37:35.127 --> 37:38.214 You wanna pick up takeout? I kinda feel like Italian. 37:38.965 --> 37:41.717 I already ordered. Chang's Garden. 37:41.801 --> 37:44.512 Right. Of course you decided. 37:52.853 --> 37:53.771 Stop. 37:55.189 --> 37:58.276 Stop, I need to look at you when I say this. 37:59.568 --> 38:00.528 Okay. 38:01.779 --> 38:03.698 You invited me to dinner with your family 38:03.781 --> 38:05.908 and then you abandoned me when things got tough. 38:05.992 --> 38:06.867 What? When? 38:06.951 --> 38:09.078 The first time that I met your family, 38:09.161 --> 38:11.372 your father showed up and you became unhappy 38:11.455 --> 38:15.501 and then you logged off and you left me there. 38:16.919 --> 38:19.213 My mother always used to quote Maya Angelou, she used to say, 38:19.297 --> 38:23.968 "When someone shows you who they are, believe them the first time." 38:24.593 --> 38:26.012 Why didn't I believe you the first time? 38:26.095 --> 38:28.973 You showed me who you were and I just didn't wanna see it. 38:29.056 --> 38:31.017 -Then who am I? -You're a person who retreats. 38:31.100 --> 38:35.688 When the going gets tough, you retreat, you quit, you disappear. 38:35.771 --> 38:39.942 You protect yourself no matter what it costs anybody else. 38:40.026 --> 38:43.029 You're the one thinking of taking a job in Chicago. 38:43.112 --> 38:45.656 A job in Chicago is nothing, Winston. 38:45.740 --> 38:48.409 Marriages can easily survive a job in Chicago. 38:48.492 --> 38:50.619 But you don't seem to want us to survive. 38:51.412 --> 38:53.998 You just seem to wanna punish me with your absence. 38:54.081 --> 38:54.915 I'm right here! 38:54.999 --> 38:57.668 But you're not. You're not! 38:57.752 --> 39:00.004 You took your love and you retreated. 39:00.921 --> 39:03.591 You disappeared inside yourself. 39:04.967 --> 39:06.177 When the going got tough, 39:06.260 --> 39:09.805 you protected yourself no matter what it cost anybody else. 39:09.889 --> 39:13.184 I am right here, you are gone. 39:14.185 --> 39:17.897 You couldn't even think of something nice to say about me this morning. 39:17.980 --> 39:20.107 Even when you wanted to quit Cardio. 39:20.191 --> 39:23.444 Supposedly to save our marriage, that was you quitting. 39:23.527 --> 39:24.820 That was you retreating. 39:24.904 --> 39:27.907 That was you giving up your gift, 39:27.990 --> 39:31.869 so that you could avoid direct conflict and that is what I don't respect. 39:33.120 --> 39:35.873 It isn't your heart, Winston. It's your cowardice. 39:36.832 --> 39:39.168 Oh, wow. Really, Maggie? 39:39.251 --> 39:42.630 And the pizza in Chicago is the best in the world! 39:42.713 --> 39:47.259 So I'm gonna go there and I'm gonna take my extraordinary passion 39:47.343 --> 39:51.514 and I am going to use it to build hearts that will save thousands of lives, 39:51.597 --> 39:52.723 and you can stay here 39:52.807 --> 39:55.476 and you can pretend like it was you who was abandoned, 39:55.559 --> 39:56.894 but we both know the truth. 39:56.977 --> 40:00.272 [Meredith] At a cellular level, we are made of forks in the road. 40:00.356 --> 40:04.318 A generalized cell is born and it splits and splits. 40:04.402 --> 40:05.986 Not having much choice in the matter. 40:07.321 --> 40:10.991 Eventually it's a body. Eventually it's you... 40:11.075 --> 40:12.034 Come here, Scout. 40:12.118 --> 40:13.327 ...out in the world. 40:13.994 --> 40:17.123 Luna's down. How are you feeling? 40:20.543 --> 40:21.585 I... 40:23.003 --> 40:24.296 I feel... 40:26.507 --> 40:27.550 Better? 40:29.385 --> 40:31.429 Yes, better. I feel better. 40:31.512 --> 40:35.808 Hear that, Scout? She feels better! Whoo-hoo! 40:35.891 --> 40:37.309 So maybe you are who you are. 40:37.393 --> 40:39.645 All right. Can you say, whoo-hoo? 40:40.354 --> 40:42.690 Maybe you can't choose who you love or what you want 40:42.773 --> 40:46.527 any more than a cell can choose to be a liver, a lung, a heart. 40:48.404 --> 40:50.322 But cells only take you so far. 40:51.740 --> 40:53.117 Rough day? 40:53.200 --> 40:55.119 Oh, thank you. 40:55.202 --> 40:57.955 Uh, it's humbling. 40:58.747 --> 41:01.459 I missed a diagnosis and almost lost a patient. 41:02.042 --> 41:02.918 But? 41:04.587 --> 41:07.339 I was bailed out by Shepherd. 41:07.840 --> 41:09.300 Hm... 41:09.383 --> 41:10.301 You? 41:12.553 --> 41:15.389 I'm afraid I might be losing another sister. 41:18.476 --> 41:20.978 In the end, you create yourself, 41:22.771 --> 41:24.732 and your life is the life you've made. 41:24.815 --> 41:28.027 ♪ But you hold your breath ♪ 41:30.779 --> 41:33.574 ♪ If we survive ♪ 41:34.283 --> 41:35.618 What the-- 41:36.619 --> 41:38.746 Hey! Hey! 41:39.747 --> 41:42.166 ♪ If we survive ♪ 41:42.249 --> 41:43.417 Hey! 41:44.210 --> 41:45.503 What the? 41:46.504 --> 41:50.007 -Oh, no... -Ben? Ben, what's going on? 41:50.674 --> 41:51.842 Miranda... 41:53.511 --> 41:56.305 ♪ On the other side ♪ 42:01.519 --> 42:03.354 We're not fine, Miranda. 42:06.690 --> 42:07.942 Oh, my... 42:13.405 --> 42:15.324 But no one said it would be easy. 42:16.116 --> 42:19.078 ♪ On the other side ♪ 42:22.998 --> 42:26.710 [theme music playing]